Weathers-Cannon, Stacey

Weathers-Cannon, Stacey is an individual health care provider with primary practice located at 650 Ingraham Ave , Calumet City IL 60409-4236. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Weathers-Cannon, Stacey can be contacted via phone (708) 546-8208.

Contact Information

Primary practice address
650 Ingraham Ave Calumet City IL 60409-4236
Phone: (708) 546-8208
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1538771076
LBN Legal business name Weathers-Cannon, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Aug 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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